Gender-Affirming Documentation –

Accessible, Respectful, No Gatekeeping

Letters for HRT, surgeries, and other affirming care at a flat, subsidized rate of $75.

Accessing gender-affirming care in Las Vegas shouldn’t come with shame, unnecessary hoops, or overwhelming costs. Yet many doctors and insurance companies still require letters for HRT, surgery, or other transition-related care — even when it shouldn’t be necessary.

My role as a trans-affirming therapist in Nevada isn’t to gatekeep your identity, but to make this process simple, affirming, and accessible. That’s why I offer documentation at a flat subsidized rate of $75, instead of my full evaluation fee, so finances aren’t another barrier between you and the care you deserve.

Who This Is For

This service may be right for you if:

  • You need a letter for HRT, puberty blockers, or gender-affirming surgery in Nevada

  • You’ve faced gatekeeping, bias, or repeated denials from providers or insurers

  • You want a clinician experienced in working with trans, nonbinary, and gender-expansive clients

  • You’re seeking a simple, affordable, affirming process with no unnecessary barriers

What to Expect

We’ll meet for a collaborative session where you can share your goals and history in a supportive space. From there, I’ll provide a letter that meets WPATH and insurance requirements for HRT and gender-affirming surgeries without pathologizing your identity. And because insurance companies and surgery centers don’t always accept letters on the first try, the $75 subsidized fee also covers if the need arises for following up with providers, revisions, and going to bat on your behalf until your documentation is accepted.

Why Subsidized?

I don’t believe anyone should have to pay just to have their identity recognized. But since many medical and insurance systems still require documentation, I balance accessibility with sustainability by charging half my usual evaluation fee. This way, you can move forward with care while I can continue offering affordable gender-affirming documentation for the Las Vegas and Nevada community.

Ready to get started?
Reach out today to request your letter and take the next step in your gender-affirming care journey in Nevada.